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The Massachusetts Avenue of health reform

The Health Policy Exchange

In contrast to the personality-driven path that Lyndon Johnson took to navigate legislative obstacles to Medicare and Medicaid, former management consultant Mitt Romney charted a decidedly different course to expanding health insurance when he became governor of Massachusetts in 2003. It was one thing to ask drivers to buy car insurance.

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From Numbers to Names: How Concierge Care is Redefining the Doctor-Patient Experience

Concierge Choice Physicians

A recent article in the Wall Street Journal interviewed physicians, attempting to make sense of the declining numbers. For medical professionals and those working in healthcare, the article was grim. Physicians, particularly primary or family care doctors, value the doctor-patient relationship too.

Patients 130
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An Escape Fire for Healthcare

Noreta Family Medicine

Bill Skelton, founder of the Acupuncture Clinic here in Columbia, SC, gave me the film to watch and said he thought that as a Direct Primary Care physician and owner of Noreta Family Medicine, I would appreciate it. As a family doctor who has worked for a large hospital system in the past, I fully agree with this contention.

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Unexpected Praise for Direct Pay Practices from Dr. Vonnegut – A Book Review

Noreta Family Medicine

Given that I own Noreta Family Medicine, an independent Direct Primary Care office, I often felt the urge to stand up and shout “Yes! We learned about when insurance was introduced into the healthcare system, first with Medicare, then with HMOs. He gets it!” Prior authorizations and co-pays also failed to achieve the same goal.

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Primary care for all Americans

Common Sense Family Doctor

" The Gilded Age of Medicine is Here ," announced the title of a recent New Yorker article about the tactics of private equity firms that provide infusions of cash to struggling hospitals in order to extract hundreds of millions of dollars in profits by slashing costs to the bone and endangering the health of patients. Nevertheless, the U.S.

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"Sludge audits" identify obstacles to completing colorectal cancer screening

Common Sense Family Doctor

Paperwork required to sign up for health insurance and to establish care with a practice. A 2022 article in the Harvard Business Review introduced the term sludge to describe “these types of situations in which the design of a specific process consistently impedes individuals from completing their intended action.” Wait times.

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The US Healthcare System vs…….South Park ?!?!

Noreta Family Medicine

A few weeks later, I received a letter in the mail from the patient’s insurance company saying that their records indicated that the patient was not taking one of the diabetes medicines in that class, and that they recommended that I prescribe one of those medicines. Insurance companies tend to lag behind current medical research.